How much is therapy with you?

My rate is $120 per 50 minute session with individuals, couples, and families. Intake sessions are 90 minutes for $140.

Can I use my insurance?

Most insurance companies require a mental health diagnosis that stays on your permanent health care record in order to receive counseling. They usually dictate how many session you may receive and the type of therapy you are permitted to engage in. Mindful Wellness Counseling believes this should be decided privately between you and your therapist.

However, if you would like to use your insurance you may qualify for Out of Network Coverage. This means that Mindful Wellness Counseling can provide you will a receipt that you can submit to your insurance company for reimbursement.

Do you have a HMO or PPO plan?
  • HMO – you have to find someone on their particular list. If you want to get the list of people on your HMO and contact me again I am happy to go over the list with you and give you recommendations based on who would be a good fit.
  • PPO – awesome. Let me tell you how I work with PPO. My rate is $120 per 50 minute session. You will pay me at the start of each session. I will give you a special receipt to submit to your insurance company, and you’ll submit it to them to potentially provide you reimbursement.

There are about a million insurance plans and all of them are so different. I’d recommend you call your insurance plan and find out what percentage they reimburse. Some insurance companies are super fast, others take a bit to get going.

I’m not on any insurance panels because I realized I am a happier, more effective therapist if I don’t spend the day on the phone arguing with insurance companies! 

How does teletherapy work?

I use a platform called It does not require any downloading of software or special accounts. All you need is a computer and a special link that I would send to you.

Teletherapy increases access to care as it helps to overcome barriers such as distance, lack of time, or transportation issues.

You want to make sure that you have a private space and time set aside so that you feel able to engage in your therapy session.

What makes Walk and Talk therapy desirable?
  1. It combines physical activity with psychotherapy.
  2. There is a hypothesis that walking can be conducive to the process of self-discovery, and help people get “unstuck” when confronting difficult issues.
  3. It takes away the anxiety of confronting difficult issues in traditional face-to face therapy.
  4. Therapy sessions tend to be more relaxed and there is a natural healing power in nature.
What Walk and Talk therapy is not.
  1. It is not a strenuous activity.
  2. It is not meant to push people beyond their physical limits. The client sets the pace of the walk.
Where do we walk?

There are several options: The Vancouver School of Arts and Academic has a track, or Arnada Park is down the street from the office. These are great options for busy days or impromptu walk and talk sessions. We can also schedule a meeting down at the Vancouver Waterfront or Esther Short Park for a more scenic option.

What does it mean to have a dysfunctional family system?

Most families do not know that they are dysfunctional until it is brought to their attention.

Families often have clear roles that serve purposes: Enabler, Perfect Child, Scapegoat, Mascot, Lost Child. These roles serve to keep the balance in the system.

There are typically spoken and unspoken rules that are in the house that keep a system dysfunctional.

Do couples always have to do their own counseling first?

Not necessarily. We can assess the need for this in the first session. However, couples do not seek out help until they are at least 7 years into an issue. This means that there is a lot of built up resentment and unhealthy communication skills that will likely come out. If a couple starts their therapeutic process together and it becomes clear that they should have their own individual sessions, we can get that scheduled.

How common is High Functioning Anxiety and Depression?

The true number of people who struggle is not clear as they do not often seek out resources. In general, in the United States, 18.1% of adults struggle with anxiety and 6.7% struggle with depression.

What is Dialectical Behavior Therapy?

DBT looks at this idea of dialectics, having two opposing wants/needs/feelings, and learning how to best cope with such opposing issues. For example, I have encountered many patients who have feelings of loneliness but are also afraid to get involved with others for fear of rejection, abandonment, or judgment. DBT helps look at this sort of situation from multiple perspectives to find the healthiest option.

DBT also has 4 skill building modules: mindfulness (our ability to stay in the moment without judgment), distress tolerance (skills needed to make it through emotionally difficult situations), emotional regulation (skills needed to help us have a more balanced view), and interpersonal effectiveness (developing and maintaining healthy boundaries and relationships).

Can anyone benefit from mindfulness practice?

Yes! There are three main attitudes of mindfulness practice that have an overwhelming impact on one’s success: commitment, self-discipline, and intentionality. With these three attitudes anyone can learn mindfulness.

In a recent study it was shown that women seemed to benefit more from mindfulness practice than men. So can men benefit from mindfulness?


Men struggle with mindfulness at times because they are not used to opening up and being vulnerable, which is where the magic happens. It’s not masculine to admit that you need some place of sanctuary. Men are used to hashing out the events of the day while knocking back a cold one. The problem with this is that the stress never really leaves, and drinking is not the best way to cope with stress.

We have to approach our mind and emotions with curiosity to help men develop the courage to embrace vulnerability. The practice of mindfulness will help men feel more grounded, stronger, and self-assured. It isn’t just about the mind, but the body as well. You become attuned to where your stress sits in your body and you learn how to release that stress.

What if I am not ready to commit to 12 weeks of mindfulness?

Start with brief, daily practices. Set aside a time where you can practice mindful breathing (a place and time where there will be no interruptions) and practice for 5 minutes a day. Start small. Half of the work is just starting a practice. There are many online introductory tools to get started as well as books.

What populations/settings have used mindfulness before?

Mindfulness has been utilized with Veterans, First Responders and Police Officers, and even large companies, such as Google, and sports organizations such as the Seattle Seahawks.

For First Responders, attention will get fatigued under high stress. Mindfulness is used to help strengthen attention, which is imperative when on the job.

A growing body of research suggests that yoga and meditation may reduce the stress that tends to distress bodies stuck sitting at desks for hours at a time. Companies believe that limiting stress will translate into fewer employee absences, lower health care costs and higher morale, which hopefully allows people to stay longer and not burn out. Approximately one-fourth of all major American employers now deliver some version of stress reduction, according to journalist David Gelles, whose book, Mindful Work, explores the increasing presence of meditation and yoga inside the business world.

If you are ready to start the therapy process and this feels like a good fit, call me at (360)-818-4573 in Vancouver, WA for a 15-minute consultation.